Provider Demographics
NPI:1780869388
Name:LAWS, DANNY BAXTER (LPT)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:BAXTER
Last Name:LAWS
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 E WISE ST
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:TX
Mailing Address - Zip Code:76230-4516
Mailing Address - Country:US
Mailing Address - Phone:940-872-6852
Mailing Address - Fax:940-872-6859
Practice Address - Street 1:1111 E WISE ST
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:TX
Practice Address - Zip Code:76230-4516
Practice Address - Country:US
Practice Address - Phone:940-872-6852
Practice Address - Fax:940-872-6859
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1008498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX686183OtherACN
TX8T2662OtherBC/BS
TX45-6776Medicare PIN